Individual
TRACY J DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
114 ALDER CT, CHEYENNE, WY 82009-2528
(307) 214-1386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15902.0190
WY
Other
Enumeration date
05/01/2006
Last updated
06/18/2012
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